GEROTRANSCENDENCE INTERVENTIONS FOR CAREGIVERS: A SCOPING REVIEW

Abstract According to Tornstam, gerotranscendence is a psychosocial adaptive theory of aging that postulates over a gradual mindset shift that occurs from middle age and progresses during old age, with individuals becoming less materialistic and more transcendental in actions and thoughts. Despite being a natural process, interventions based on gerotranscendence have been associated with improvements in well-being and are starting to receive attention among professionals working with older adults. This study aims to map interventions based on gerotranscendence targeting older adults’ caregivers and summarize their main outcomes. Six databases were searched, and three final studies were selected and analyzed based on the Template for Intervention Description and Replication (TIDieR). All studies took place in nursing homes and long-term care (LTC) facilities with staff members. Two studies presented a long-term intervention with a qualitative approach, while one presented a short-term intervention with a quasi-experimental approach. All interventions had a moment of group instruction about the gerotranscendence theory, in which participants were informed about gerotranscendence signs that could be recognized and/or promoted in older adults. All three studies reported positive outcomes suggesting that informing and training caregivers on gerotranscendence can contribute to a higher quality of care and to an improvement of the caregiving relationship.

mental health.We examined changes in driving status over a three-year period among participants in the Canadian Longitudinal Study on Aging (CLSA), which includes Canadians aged 45-85 at baseline.At baseline (data collected between 2011 and 2015) and follow-up (data collected between 2015 and 2018), participants reported whether they had a driver's license.Using multiple logistic regression, we examined the relationship between covariates and changes in license status (i.e., having a license at baseline but not at follow-up vs. maintaining license).Of the participants who reported having a driver's license at baseline (n=36,266), 1.19% (n=432) reported no longer having one at follow-up.This change was associated with lower income categories and poorer self-rated health.Age (B=.12, p<.001) and depression symptoms (B =.04, p<.001) were positively associated with no longer having a license.Participants who reported a change had lower scores on a memory task (Rey Auditory Verbal Learning Test; B=-.07, p<.001).Women had greater odds than men to report a change in driver's license at follow-up (OR=1.5, p<.001).The results highlight the salience of health, cognition, and income as correlates of driving cessation in a sample of mid-aged and older adults.These results may help identify individuals who are likely to stop driving and who may need additional supports maintaining mobility, health, and quality of life.

DIFFERENT TYPES OF INTERNET USE AND SOCIAL ADAPTATION AMONG OLDER ADULTS
Heng Zhao, Huamao Peng, Zhiyu Fan, and Jingxuan Wu, Beijing Normal University, Beijing, Beijing, China (People's Republic) Adaptation is pivotal in achieving successful aging.However, the surge in Internet use and social distancing measures during COVID-19 exacerbate the existing adaptation difficulties of older adults with insufficient Internet exposure.Despite this, little attention has been paid to older adults' Internet use and related social adaptation.This study aimed to explore how older adults' different types of Internet use influence their social adaptation and determine how to increase their Internet use from the user's perspective to promote social adaptation.We recruited 388 adults aged 60 to 83 and measured their frequency of four principal types of Internet use: information-seeking, social interaction, instrumental use, and leisure & entertainment.Structural equation modeling was employed to compare effects of different types of Internet use on older adults' social adaptation, as well as examine the predictive roles of Internet control belief and involvement.These results revealed instrumental use and leisure & entertainment were significantly and positively associated with the social adaptation of older adults among the four types of Internet use, whereas information-seeking and social interaction were not.Additionally, Internet control belief and involvement positively predicted all four types of Internet use among older adults and were associated with social adaptation through instrumental use and leisure & entertainment.The findings imply that instrumental use and leisure & entertainment are particularly important for promoting social adaptation among older adults.How do digitally-delivered meaningful activities, such as sport-based reminiscence, influence older people's health and well-being and intergenerational relationships?Developing and strengthening older people's 'connectivities' through their links with community, resources and meaningful activities is a key aspect of supporting healthy ageing and reducing health inequalities in later life.Sport-based reminiscence has become an established activity to facilitate social connectivity and increasingly, digital connectivity, which can support an individual's sense of health and well-being.This paper reports on research undertaken within a three-year research programme on 'Connectivity and Digital Design for Promoting Health and Well-being Across Generations, Places and Spaces' focusing on research conducted with four community-based co-production groups in Scotland.The qualitative research was developed with a stakeholder advisory group and co-production groups in care homes and in community.Data was gathered from recording of meetings and researcher observations thematically analysed to document shared experiences of digitally enabled sport reminiscence over a ten month period.We report on the efficacy of live-streamed and digital sport heritage experiences for triggering reminiscence in a hybrid context.We emphasise the need for structured facilitation of hybrid online/in-person reminiscence, which can clearly produce meaningful and enjoyable experiences for older people, and building connectivity.

. School of Medicine and Biomedical Sciences, University of Porto, Porto, Porto, Portugal
According to Tornstam, gerotranscendence is a psychosocial adaptive theory of aging that postulates over a gradual mindset shift that occurs from middle age and progresses during old age, with individuals becoming less materialistic and more transcendental in actions and thoughts.Despite being a natural process, interventions based on gerotranscendence have been associated with improvements in well-being and are starting to receive attention among professionals working with older adults.This study aims to map interventions based on gerotranscendence targeting older adults' caregivers and summarize their main outcomes.Six databases were searched, and three final studies were selected and analyzed based on the Template for Intervention Description and Replication (TIDieR).All studies took place in nursing homes of cognitive training on crash risk beyond 5 years.To address this empirical gap, we aimed to determine the effects of cognitive training on crash risk over 20 years, and how urbanicity moderates these relationships.Using participants from the no-contact control and intervention (speed of processing, memory, and reasoning training) groups in the ACTIVE study (n=2170) and state-recorded crash reports, cox proportional hazards models were used to examine the effect of three cognitive training interventions as predictors of time to first at-fault crash over 20 years.Participants (mean age 73, 73% White, 23% Male) reported driving 90.6 miles/week on average and 12.6% experienced an at-fault crash.Overall, speed of processing training was the only intervention related to lower crash risk, but this varied by urbanicity.Namely, speed of processing training was related to lower crash risk for individuals living in rural environments (HR=.16,Little is known about how lay older adults view measures commonly employed to assess healthy aging.This study examined older adults' perceptions of scales capturing psychological wellbeing, psychosocial factors, and physical health.Participants (n = 60 US adults; MAge = 65.49,41.18% Female, 94.12% White) were asked to rate how easy each measure was to understand and interpret on a scale of 1 (Not easy at all) to 7 (Very easy).In addition, they were asked to identify any items with which they had difficulty responding.Finally, participants provided opinions of whether these scales fully addressed their perspective on healthy aging, or if additional components were needed.Results showed that, on average, participants rated the aging-related outcomes measures as easy to understand and interpret (M = 6.14).Older adults rated measures related to physical health and health behaviors as the easiest to use (the PROMIS Health Measure (M = 6.47) and the Good Health Practices Scale (M = 6.49)), while measures that capture future planning were the most difficult to comprehend and interpret (the Consideration of Future Consequences Scale (CFC; M = 5.19) and the Goals Related to Healthy Aging Scale (M = 5.73)).While participants generally reported satisfaction with the comprehensiveness of the measures, some (22%) felt that these measures did not fully capture the social aspects of aging.Future measurement development may benefit from older adults' input to increase their utility and better capture the experiences of older adults.
To increase Internet use and promote social adaptation, interventions should prioritize these types of Internet use and focus on enhancing Internet control belief and involvement.
], p=.018) but not for individuals in urban environments (HR=.89,95% CI [.54-1.50],p=.679).Findings highlight the safety benefits of speed of processing training for older drivers living in rural environments where more fatal crashes occur.However, interventions are still needed to improve safety in urban environments where more crashes occur generally.Consideration of location in future interventions may help improve safe driving for older adults.